Preeclampsia Toolkit

The primary aim of Improving Health Care Response to Preeclampsia: A California Toolkit to Transform Maternity Care is to guide and support obstetrical providers, clinical staff, hospitals and healthcare organizations to develop methods within their facilities for timely recognition and an organized, swift response to preeclampsia. Developed by the CMQCC Preeclampsia Task Force, the Toolkit includes best practices for early recognition, diagnosis, treatment and management of preeclampsia.
 
The toolkit is available to download after completing a brief survey.
 

Download:

Improving Health Care Response to Preeclampsia: A California Toolkit to Transform Maternity Care (2014)

Slide Set for Professional Education

Webinar link: January 30, 2014 and February 25, 2014 - Preeclampsia Informational Webinar

 

The following individual sections of the toolkit are available to users who have completed the Toolkit survey.

Executive Summary
Introduction and Historical Perspective and Clinical Pearls

Tools

Tool: Suspected Preeclampsia Algorithm
Tool: Preeclampsia Early Recognition Tool (PERT)
Tool: Sample Preeclampsia/Eclampsia Medication Box Tool: Eclampsia Algorithm
Tool: Diagnosis: Evaluation and Treatment of Antepartum and Postpartum Preeclampsia and Eclampsia in the Emergency Department
Tool: Treatment: Evaluation and Treatment of Antepartum and Postpartum Preeclampsia and Eclampsia in the Emergency Department
Classification and Diagnosis of Hypertensive Disorders of Pregnancy

Patient Care and Treatment Recommendations

Accurate Blood Pressure Measurement
Early Recognition Proteinuria Ante, Intra, Postpartum Nursing Management and Assessment of Preeclampsia: Maternal/Fetal Assessment and Monitoring Recommendations
Outpatient Management of Preeclampsia
Chronic Hypertension in Pregnancy
Antihypertensive Agents in Preeclampsia
Magnesium Sulfate
Teamwork and Communication
Teamwork and Communication Collaboration Example
The Role of Medical Simulation
Fluid Management in Preeclampsia
Airway Management in Pregnant or Postpartum Women Having Seizures
Special Circumstances: Severe Preeclampsia at <34 Weeks
Consultation Triggers in Severe Preeclampsia for All Obstetric Units
Posterior Reversible Encephalopathy Syndrome (PRES)

Emergency Department Recognition and Non-Obstetrical Visits

Education and Patient Information

Prenatal and Postpartum Patient Counseling or Education

Appendices

Algorithms:  A-F
Appendix A: Sample Management of Eclampsia Algorithm
Appendix B: Sample Treatment of Severe Preeclampsia Algorithm
Appendix C: Suspected Preeclampsia Algorithm Diagnosis and Management
Appendix D: Preeclampsia Early Recognition Tool (PERT)
Appendix E: Eclampsia Algorithm
Appendix F: Evaluation and Treatment of Antepartum and Postpartum Preeclampsia and Eclampsia in the Emergency Department, Part 1 AND 2, Errata 5/13/14

Simulations and Drills: G-N
Appendix G: Severe Preeclampsia/Eclampsia in LDR v2.0 SimMan 3G: General Information
Appendix H: Severe Preeclampsia/Eclampsia in LDR v2.0 SimMan 3G: Learning Objectives
Appendix I: Severe Preeclampsia/Eclampsia in LDR v2.0 SimMan 3G: Patient Background Information
Appendix J: Severe Preeclampsia/Eclampsia in LDR v2.0 SimMan 3G: Equipment/Materials List
Appendix K: Severe Preeclampsia/Eclampsia in LDR v2.0 SimMan 3G: Program Algorithm & GUI Notes
Appendix L: Severe Preeclampsia/Eclampsia in LDR v2.0 SimMan 3G: Debriefing Objectives
Appendix M: Severe Preeclampsia/Eclampsia in LDR v2.0 SimMan 3G: Debriefing Guide/Evaluation
Appendix N: Simulation Scenario: Hypertension in Pregnancy, HELLP with Seizure

Patient Education:  O-Q
Appendix O: Preeclampsia Foundation Signs and Symptoms Information Sheet
Appendix P: SAMPLE: Discharge Instructions Following Delivery with Diagnosed Preeclampsia
Appendix Q: SAMPLE: Discharge Sheet for Preeclampsia, Eclampsia and HELLP Syndrome Patients

Miscellaneous: R-W
Appendix R: Prenatal Care Monitoring: Documentation of Diagnosis and Accurate ICD-9 Coding
Appendix S: Sample Preeclampsia/Eclampsia Medication Toolbox List
Appendix T: Special Considerations for Treatment of Severe Hypertension: Amphetamine/Cocaine Drug Abuse and Hypotension
Appendix U: Sample Nursing Management Policy and Procedure
Appendix V: Dialy Assessment for Delivery versus Continuing Pregnancy
Appendix W: Labetalol and Hydralazine Recommendations
Appendix X: Classification of Evidence Grading